1477807519 NPI number — DR. AKEYLAH JANNA BATTLE PHARM D

Table of content: DR. AKEYLAH JANNA BATTLE PHARM D (NPI 1477807519)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477807519 NPI number — DR. AKEYLAH JANNA BATTLE PHARM D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BATTLE
Provider First Name:
AKEYLAH
Provider Middle Name:
JANNA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHARM D
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477807519
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/26/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2500 S MILLBEND DR
Provider Second Line Business Mailing Address:
APT. 8202
Provider Business Mailing Address City Name:
THE WOODLANDS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77380-2499
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
901-828-4495
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1403 FM 1960 RD W
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77090-3303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-444-1201
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/26/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  51935 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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